Oral potentially malignant disorders: advice on management in primary care

Introduction: The diagnosis of and risks associated with oral potentially malignant disorders (OPMD) have been widely reported, but little has been published on the management of OPMDs in a primary dental care setting. Hospital services face ongoing pressures due to long-term follow-up, with a need...

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Main Authors: Eccles Katherine, Carey Barbara, Cook Richard, Escudier Michael, Diniz-Freitas Marcio, Limeres-Posse Jacobo, Monteiro Luis, Silva Luis, Fricain Jean-Cristophe, Catros Sylvain, Lodi Giovanni, Lombardi Niccolò, Brailo Vlaho, Brzak Bozana Loncar, Ariyaratnam Raj, Albuquerque Rui
Format: Article
Language:English
Published: EDP Sciences 2022-01-01
Series:Journal of Oral Medicine and Oral Surgery
Subjects:
Online Access:https://www.jomos.org/articles/mbcb/full_html/2022/03/mbcb220083/mbcb220083.html
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author Eccles Katherine
Carey Barbara
Cook Richard
Escudier Michael
Diniz-Freitas Marcio
Limeres-Posse Jacobo
Monteiro Luis
Silva Luis
Fricain Jean-Cristophe
Catros Sylvain
Lodi Giovanni
Lombardi Niccolò
Brailo Vlaho
Brzak Bozana Loncar
Ariyaratnam Raj
Albuquerque Rui
author_facet Eccles Katherine
Carey Barbara
Cook Richard
Escudier Michael
Diniz-Freitas Marcio
Limeres-Posse Jacobo
Monteiro Luis
Silva Luis
Fricain Jean-Cristophe
Catros Sylvain
Lodi Giovanni
Lombardi Niccolò
Brailo Vlaho
Brzak Bozana Loncar
Ariyaratnam Raj
Albuquerque Rui
author_sort Eccles Katherine
collection DOAJ
description Introduction: The diagnosis of and risks associated with oral potentially malignant disorders (OPMD) have been widely reported, but little has been published on the management of OPMDs in a primary dental care setting. Hospital services face ongoing pressures due to long-term follow-up, with a need for surveillance to be jointly undertaken with primary dental care clinicians. In a primary care setting, identification and surveillance of OPMDs can be challenging as no universal guidance exists on recommended recall intervals. Corpus: In this article, an update on OPMDs is provided and, based on the practices of six Oral Medicine units in Europe (London (United Kingdom), Milan (Italy), Bordeaux (France), Porto (Portugal), Zagreb (Croatia) and Santiago de Compostela (Spain)), aiming to provide guidance on monitoring in a primary care setting in Europe. Conclusion: Oral medicine clinicians can provide guidance to general dental practitioners (GDPs) on recommended recall intervals. It is important that they feel confident in monitoring these conditions and, when concerned, to arrange referral to a hospital or appropriate specialist. GDPs should document descriptions of lesions and, if possible, take clinical photographs. Patients should be counselled on modifiable lifestyle factors and directed to oral medicine society websites to access patient information leaflets.
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spelling doaj.art-942ea3095e614381b3a77e158d0e31b12022-12-22T02:06:02ZengEDP SciencesJournal of Oral Medicine and Oral Surgery2608-13262022-01-012833610.1051/mbcb/2022017mbcb220083Oral potentially malignant disorders: advice on management in primary careEccles Katherine0Carey Barbara1Cook Richard2Escudier Michael3Diniz-Freitas Marcio4https://orcid.org/0000-0001-5349-1091Limeres-Posse Jacobo5Monteiro Luis6Silva Luis7Fricain Jean-Cristophe8Catros Sylvain9Lodi Giovanni10Lombardi Niccolò11Brailo Vlaho12Brzak Bozana Loncar13Ariyaratnam Raj14Albuquerque Rui15https://orcid.org/0000-0002-1741-8871Oral Medicine, Guy's and St Thomas' NHS Foundation TrustOral Medicine, Guy's and St Thomas' NHS Foundation TrustFaculty of Dentistry, Oral & Craniofacial Sciences, King’s College LondonFaculty of Dentistry, Oral & Craniofacial Sciences, King’s College LondonSchool of Medicine and Dentistry, University Santiago de CompostelaSchool of Medicine and Dentistry, University Santiago de CompostelaOral Pathology and Rehabilitation Research Unit UNIPRO, University Institute of Health (IUCS), CESPUOral Pathology and Rehabilitation Research Unit UNIPRO, University Institute of Health (IUCS), CESPUUniversity of BordeauxUniversity of BordeauxUniversità degli Studi di MilanoUniversità degli Studi di MilanoOral Medicine, School of Dental Medicine, University of ZagrebOral Medicine, School of Dental Medicine, University of ZagrebUniversity of ManchesterOral Medicine, Guy's and St Thomas' NHS Foundation TrustIntroduction: The diagnosis of and risks associated with oral potentially malignant disorders (OPMD) have been widely reported, but little has been published on the management of OPMDs in a primary dental care setting. Hospital services face ongoing pressures due to long-term follow-up, with a need for surveillance to be jointly undertaken with primary dental care clinicians. In a primary care setting, identification and surveillance of OPMDs can be challenging as no universal guidance exists on recommended recall intervals. Corpus: In this article, an update on OPMDs is provided and, based on the practices of six Oral Medicine units in Europe (London (United Kingdom), Milan (Italy), Bordeaux (France), Porto (Portugal), Zagreb (Croatia) and Santiago de Compostela (Spain)), aiming to provide guidance on monitoring in a primary care setting in Europe. Conclusion: Oral medicine clinicians can provide guidance to general dental practitioners (GDPs) on recommended recall intervals. It is important that they feel confident in monitoring these conditions and, when concerned, to arrange referral to a hospital or appropriate specialist. GDPs should document descriptions of lesions and, if possible, take clinical photographs. Patients should be counselled on modifiable lifestyle factors and directed to oral medicine society websites to access patient information leaflets.https://www.jomos.org/articles/mbcb/full_html/2022/03/mbcb220083/mbcb220083.htmloral potentially malignant disordersopmdpremalignant disorders
spellingShingle Eccles Katherine
Carey Barbara
Cook Richard
Escudier Michael
Diniz-Freitas Marcio
Limeres-Posse Jacobo
Monteiro Luis
Silva Luis
Fricain Jean-Cristophe
Catros Sylvain
Lodi Giovanni
Lombardi Niccolò
Brailo Vlaho
Brzak Bozana Loncar
Ariyaratnam Raj
Albuquerque Rui
Oral potentially malignant disorders: advice on management in primary care
Journal of Oral Medicine and Oral Surgery
oral potentially malignant disorders
opmd
premalignant disorders
title Oral potentially malignant disorders: advice on management in primary care
title_full Oral potentially malignant disorders: advice on management in primary care
title_fullStr Oral potentially malignant disorders: advice on management in primary care
title_full_unstemmed Oral potentially malignant disorders: advice on management in primary care
title_short Oral potentially malignant disorders: advice on management in primary care
title_sort oral potentially malignant disorders advice on management in primary care
topic oral potentially malignant disorders
opmd
premalignant disorders
url https://www.jomos.org/articles/mbcb/full_html/2022/03/mbcb220083/mbcb220083.html
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